There is a problem inside hospitals caused by our reliance on specialists. Day1: Plan: XXXology review Day2: Plan: await XXXology opinion Day3: Plan: Chase XXXology Its actually a "system trap" known as "shifting the burden to the intervenor". An addiction leading to bottlenecks.

@Marktheliverdoc Easily solved by ‘ology’ providing same day opinion. @UHSFT if you call 2390 (cardiology SpR) you get same day opinion. Surely that should be standard ?

@Marktheliverdoc @UHSFT Same day consult should be standard- no reason this can’t be achieved. Turnover is key.

@Dr_Stig @UHSFT No doubt about it, we get a great service from you guys, but I know how you feel about those slightly raised troponins….. (Same as I feel about slightly raised ALT). 1. Don’t all need referral 2. Delay discharge- even if you come the same day. #thinkbeforereferring

@Marktheliverdoc @Dr_Stig @UHSFT eReferrals are one of the worst things invented. Good in theory. But their quality are awful. And they encourage everything to be referred without thinking.

@Marktheliverdoc @Dr_Stig @UHSFT E-referrals are absolutely horrendous. Extremely limited clinical information, at least half the time no bleep/contact number from the referring team. Used as a way not to ring specialties these days- a good number that would be declined over the phone/advice given

@Marktheliverdoc @Dr_Stig @UHSFT As others have said, no e-Referrals for me - just call me. I often put my contact number on the reply. Having a conversation, particularly with a senior clinician or at the very least someone’s who’s been on the ward round/seen the patient, can lead to quick plans/reviews.